Organization Active NPI

Sacred Care & Counseling

  • Mental Health Counselor
  • Norcross, GA
National Provider Identifier
1013538164
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SACRED CARE & COUNSELING
Practice address
4725 Peachtree Corners Cir Ste 185
Norcross, GA 30092-2553
Phone
(678) 506-7499
NPI assigned
Apr 29, 2020
Last updated
Jun 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tavonda Hudson, LPCNPI 1336769470
Title
Mental Health Therapist
Phone
(678) 506-7499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4725 Peachtree Corners Cir Ste 185
Norcross, GA 30092-2553

Mailing address

4725 Peachtree Corners Cir Ste 185
Norcross, GA 30092-2553
Phone (678) 506-7499

Other practice location 1

4725 Peachtree Corners Cir
Norcross, GA 30092-2571
Phone (678) 506-7499

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tavondahudson@sacredcareandcounseling.com

National Provider Directory

National Provider Directory

Locations

4725 Peachtree Corners Cir
Norcross, GA 30092
Phone (678) 506-7499

4725 Peachtree Corners Cir
Ste 185
Peachtree Corners, GA 30092
Phone (678) 506-7499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592697600000",
    "number": "1013538164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 PEACHTREE CORNERS CIR STE 185",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922553",
            "telephone_number": "678-506-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 PEACHTREE CORNERS CIR STE 185",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922553",
            "telephone_number": "678-506-7499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4725 Peachtree Corners Cir",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300922571",
            "country_code": "US",
            "telephone_number": "678-506-7499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SACRED CARE & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "TAVONDA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "678-506-7499",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tavondahudson@sacredcareandcounseling.com",
            "affiliation": "N",
            "address_1": "4725 Peachtree Corners Cir Ste 185",
            "city": "Norcross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300922553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.